Nadeem Mustafa Khan Archives

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Continuous Quality Improvement (CQI) Action Plan: 1998-1999

Nadeem Mustafa Khan
- Quality Vision
- Leadership and Structure
- CQI Model for Change
- Mission
- Guiding Principles
- Market Needs
- Organization’s Vision
- Organization as a System
- Strategic Measurement Panel
- Infrastructure Alignment
- Road Map Towards Total Quality
- Detailed Action Plan
- Improvement of Processes and Outcomes
- Customer Focus
- Training
- Measurements
- Structures and Leadership Commitment
- Budgeting
- Human Resources: Availability
- Human Resources: Performance Appraisal
- Human Resources: Reward and Recognition
- Communication
- Dissemination of Information
Improving Quality in Education/Healthcare: A Comprehensive Course for School of Nursing Faculty September 29-30, 1998

Nadeem Mustafa Khan
- The Need and the Opportunity
- Principles of Quality Improvement
- Old Way / New Way
- Workshop I (Case Studies)
- Quality Improvement Process (QIP)
- Tools for Quality Improvement
- Examples of Quality Improvement
- Service Excellence and Quality
- Future State
- Workshop II: What Do I Do Next?
Improving Quality in Health Care: A Comprehensive Curriculum for Health Care Executives, Managers, Clinicians and Nurses

Nadeem Mustafa Khan
- The Need and the Opportunity
- What is Total Quality Management (TQM)?
- Customer Mindedness
- The Parable of the Red Beads
- Principles of Quality Improvement
- Old Way / New Way Management
- Quality Improvement Process (QIP)
- The Project Team: Roles and Activities
- Tools for Quality Improvement
- Examples of Quality Improvement at Aga Khan University Hospital
- Delays in Respiratory Care Workshop
- Future State
- TQM Rollout Model: Upper Management Driven
- Summary of Critical Concepts
- The AKUH Road Map to Quality
- Faculty and Bibliography
The Quality Culture Survey 1998

Nadeem Mustafa Khan
- Introduction and Background
- Methodology
- Findings
- Category-wise Analysis
- Areas of High and Low Level of Agreement
- Next Steps
- Conclusions and Recommendations
- Appendices: Culture Survey Tabulations
- Appendices: Comments and Suggestions Received
Improving Quality in Health Care: A Presentation for Board Members of AKHS, Kenya

Nadeem Mustafa Khan, Levi N. Hilling
- Continuous Quality Improvement: The Need and the Opportunity
- Principles of Quality
- Old Way / New Way
- Quality Improvement Process
- Future State
- AKUH: The Quality Journey and Lessons Learned
Total Quality Management (Session #19 & 20)

Nadeem Mustafa Khan, Ashraf Usman
- Continuous Quality Improvement (CQI)
- The Need and the Opportunity
- Quality: A Strategic Necessity
- Principles of Quality Improvement
- Principles of Quality Management
- Customer Thinking
- Statistical Thinking and Variation
- Scientific Method Applied to Process Improvement
- Organizational Transformation
- Old Way / New Way Management
- Quality Improvement Process (QIP)
- Process and Tools for Quality Improvement
- Future State
- Leadership
- Information and Analysis
- Strategic Quality Planning
- Human Resource Management
- Quality Assurance Activities
- Customer Satisfaction
Quality Indicator Project

Vahé A. Kazandjian
- Introduction
- Statement of Mission and Values
- Participation Information
- Quality Indicator (QI) Project® Indicators
- Ambulatory Indicators
- Materials and Services Provided to Participants
- Participating Multi-Hospital Systems and Hospital Associations
- Current Research Initiatives
- Correspondence Regarding the QI Project
3rd Facilitators Moot December 7, 1996

Nadeem Mustafa Khan

CQI Overview - Achievements and Difficulties
Clinical Quality: QACC Experience and Lessons Learned
Quality Circles: Experiences
Future Challenges: Clinical
Future Challenges: General
Conclusions
What is CQI?
Quality Vision
Assessment of Quality
Assessment of Patient Satisfaction With Services and Care at the Hospital
Quality Culture Survey
Cost of Poor Quality (COPQ)
Assessment of Quality Activities
Organization as a System
Quality Improvement Teams (QITs) Status Report
Examples of Team Achievements
QIT Methodology
Strategic Measurement Panel
Conclusions
Quality Circles: Experiences
Concept and Philosophy
Features Essential for Success of a Circle Activities
Quality Circles - Case Study
Clinical Quality of Care: The Future
Structure for Clinical Quality
Components of Quality Activities
Future Challenges
How Organizations Change
Strategic Deployment of Vision
Strategic Measurement
Cascade of Indicators
Major Cultural Change Process
JCAHO Self-Assessment
Leadership Commitment and Focus
Exercise
Ultimate Challenge
Directions in Clinical Care Improvement
Work Group # 5: Delays Across the Institution
Work Group # 6: Improving Team Effectiveness
Work Group # 7: Improvements in Performance Appraisal Process
General Information on CQI
CQI Grand Round
CQI Awareness
Team Training
Quality Circle Training
Facilitation & Tools Training
Quality Tool Box
List of Books on CQI
Appendices to Assessment of The Cost of Poor Quality - September 1996

Nadeem Mustafa Khan
- 1995 Statistics and Financial Relationship
- Overall Summary and Detailed Calculations
Assessment of The Cost of Poor Quality - September 1996

Nadeem Mustafa Khan
- Assessment of the Cost of Poor Quality
- Cost of Poor Quality
- Quality Management
- Quality Improvement
- Aga Khan University
Continuous Quality Improvement (CQI) Action Plan: 1996-1997

Nadeem Mustafa Khan
- Quality Vision
- Leadership and Structure
- CQI Model for Change
- Detailed Action Plan
- Improvement of Processes and Outcomes
- Training
- Measurements
- Structures
- Infrastructure Alignment
- Leadership Commitment
- Summary and Conclusions
- Progress Update on Action Plan of 1994–95
- Key Indicators / Measures
CQI Facilitators Moot January 20, 1996

Nadeem Mustafa Khan
- Progress in CQI: 1994-5
- Planning for 1996 and Beyond
- Challenges Ahead
- Clinical Quality
- Measurement Indicators
- Identification of Core Processes/Activities
- Implementation: ISO 9000
- Roles of Facilitators and Conclusions
- Quality Vision (AKUH)
- Quality Awareness Training
- Areas of Improvement and Opportunities
- Quality Culture
- Recommendations and the Future
- Challenges Ahead
- Organization as a System
- Quality Wheel
- Quality Assurance
- Clinical Audits
- Care Improvement Teams (Brigham and Women's Hospital)
- ISO 9000 vs TQM
- Kaizen
- Accelerators and Inhibitors
- Roles of Facilitators
Quality Circle Training (01)

Nadeem Mustafa Khan
- Quality Circle Training
- Quality Concepts
- Triple Role
- The Quality Council
- Quality Improvement Teams
- Quality Circles
- Structure of Quality Circles
- Roles and Responsibilities (Top Management, Middle Management, Foremen, Facilitators, Leader, Circle Members)
- Recognition and Rewards
- Case Studies (AEG Pakistan, LSS Hospital, Durgapur Steel Plant)
- Exercise
Quality Circle Training (02)

Nadeem Mustafa Khan
- Quality Concepts
- What is Quality?
- Internal Customers
- External Customers
- Triple Role: Supplier, Processor, Customer
- Elements of a Process
- Sources of Variation
- The Quality Council
- Quality Improvement Teams
- Benefits of Teamwork
- Quality Improvement Process
- Steps of Problem Solving
- Quality Circles
- Elements of Quality Circles
- Concept and Philosophy
- Quality Circle Objectives
- Tangible and Intangible Gains
- Secrets to Establishing a Successful Quality Circle Program
- What Quality Circles Are Not
- Aberrations to be Avoided
- Unique Features of Quality Circles
- CQI vs Quality Circles
- Comparison: Quality Circles and Project Teams
- Structure of Quality Circles
- Role of Members
- Role of a Leader
- Role of a Facilitator
- How Quality Circles Operate
- Implementation Pitfalls
- Motivational Aspects of Quality Circles
- Participation in Quality Circles
- Recognition
- Communication Methods Used in Quality Circles
- Promotional Activities
Improving Quality in Education - A Comprehensive Curriculum for Chairpersons, CEOs and Administrators in Education

Nadeem Mustafa Khan, Ashraf Usman
- The Need and the Opportunity
- What is Total Quality Management?
- The Parable of the Red Beads
- Principles of Quality Management
- Old Way / New Way
- Workshop I: Case Studies in Quality Improvement
- Quality Improvement Process
- Case Study: Teaching TQM in an Inner City High School
- Tools for Quality Improvement
- Workshop II: Science Student Achievement Case
- Future State
- TQM Rollout Model: Upper Management Driven
- Workshop III: What Do I Do Next?
- Summary of Critical Issues
- Resources
- Bibliography
Balancing Science and Practice in Indicator Development: The Maryland Hospital Association Quality Indicator (QI) Project®

Vahe A. Kazandjian, Parnell Wood, Jane Lawthers
- Background
- Why is the QI Project a Research Project?
- Guiding Principles
- Discussion of the QI Project's Principles
- Describing Processes of Care: A Central Goal of the QI Project
- New Developments New Indicator Series
- Benchmarking
- Concluding Thoughts
- References
An Assessment of The Quality Culture at AKUH May 1995

Nadeem Mustafa Khan
- Executive Summary
- Introduction
- Quality Culture Survey
- Focus Groups
- Interviews
- Print Media and Video Review
- Strategy and Next Steps
- Background
- Methodology and Sources of Information
- Culture Survey and Its Findings
- Focus Group Findings
- Individual Interviews: Summary of Results
- Review of Print Media and Its Findings
- Overall Findings
Appendices to An Assessment of The Quality Culture at AKUH May 1995

Nadeem Mustafa Khan
- Culture Survey Findings
- General Definitions of Quality
- The Organization
- Communication and Employee Involvement
- Organizational Quality Culture
- Innovation and Creativity
- Recognition and Reward Systems
- Organization's Management
- Leadership and Quality Improvement
- Interdepartmental Cooperation
- Trust and Delegation
- Training and Resources
- Work Environment and Other Issues
- Quality Problems
- Obstacles Toward Solving Quality Problems
- Focus Group Discussions
- Faculty and Staff Interviews
- Print Media and Video Review Findings
Appendices to Assessment of Quality Activities at AKUH May 1995

Nadeem Mustafa Khan
- Terms of Reference of the Quality Assurance Co-ordinating Committee
- Committee Mandate
- Reporting Relationship
- Quality Assessment and Improvement
- Quality Assessment and Improvement Questionnaire and Results
- Quality Processes and Activities: Detailed Results
- Leadership and Quality Improvement
- Monitoring and Evaluation of Patient Care
- Quality Indicators and Measurement
- Infection Control and Patient Safety
- Clinical Quality Assessment
- Continuous Quality Improvement (CQI) Activities
Appendixes to Assessment of Patient Satisfaction With Services and Care at the Hospital Establishing a Baseline and Identifying Areas of Improvement - March 1995

Nadeem Mustafa Khan
- Assessment of Patient Satisfaction with Services and Care at the Hospital
- Consulting Clinics Survey
- Inpatient Areas Survey
- Main Laboratory Survey
- Collection Center Survey
- Radiology Survey
- Emergency Room Survey
- Non-Customers Survey
- Analysis of Complaints
- Pareto Chart of Outpatient Dissatisfaction Items
- Pareto Chart of Inpatient Dissatisfaction Items
Assessment of Quality Activities at AKUH May 1995

Nadeem Mustafa Khan
- Introduction
- Background and History
- Organizational Framework for Quality
- Organizational Structure for Quality
- Committee Structure
- Quality Assurance Coordinating Committee (QACC)
- Continuous Quality Improvement (CQI) Process
- Review of Hospital Quality Assessment and Improvement Using JCAHO Criteria
- Quality Activities at AKUH: Structural, Process and Outcome Measures
- Structural Measures
- Process Measures
- Direct Patient Care
- Indirect Patient Care
- Outcome Measures
- Assessment and Recommendations
- Recommendations and the Future
- Traditional Quality Assurance vs Continuous Quality Improvement
- Total Quality Management
- Sources / References
BREAKTHROUGH SERIES - Overview and Status Report December 1995

Nadeem Mustafa Khan
- verview
- Methods for Achieving Breakthrough Improvements
- Current ResultsCesarean Section Rates
- Asthma Care
- Reducing Delays and Wait Times
- Conclusion
Breakthrough Series: Reducing Costs and Improving Outcomes

Nadeem Mustafa Khan
- Summary
- Reducing Cesarean Section Rates While Improving Maternal and Infant Outcomes
- Improving Inpatient and Outpatient Physician Prescribing Practices
- Reducing Costs and Improving Outcomes in Adult Intensive Care
- Improving Neonatal Intensive Care
- Improving Outcomes and Reducing Costs in Adult Cardiac Surgery
- Improving Outpatient Asthma Care in Children and Adults
- Providing More Effective Care for Low Back Pain
- Reducing Adverse Drug Events in Inpatients
- Reducing and Improving Inventory Levels and Supplier Management
- Reducing Delays and Wait Times Throughout the System
- Selection Criteria
- Learning and Action
- World Class Experts
- Dissemination and Documentation
- Application Form
CQI Trained Facilitators Retreat March 1995

Nadeem Mustafa Khan
- CQI Action Plan: July 1994 to December 1995 - Progress Update
- Refresher on Some Key Concepts
- Detailed Discussion on the CQI Process Implementation at AKUH
- A.O.B. (Any Other Business)
- CQI Action Plan
- Quality Vision
- Training
- Status of Teams
- Refresher for Facilitators
- The Juran Trilogy
- Breakthroughs
- Project Team: Roles
- Facilitator's Roles
- Project Team: Activities
- Hold the Gains Phase
- CQI Process Implementation
- Lessons Learned
- Some Lessons Learned from Others
- Quality Council
- Project Team Members
- Project Team Organization
- The Chairperson
- The Project Secretary
- The Facilitator
- Selection of Facilitators
- Training of Facilitators
- Criteria for Project Selection
- Select a Project
- Prepare a Mission Statement
- What the Team Does
- The Charter
- Journey from Symptom to Cause
- Journey from Cause to Remedy
- Conduct of Meetings
- Agendas
- Minutes
- Progress Reports
- Final Reports
- Cloning Remedies
- CQI Process at AKUH: Lessons Learned and Discussion
- Step 5: Hold the Gains
- Foolproof the Remedy
- Leadership Commitment
- Clinicians' Involvement
- Team Operations
- Facilitation
Progress Update on Action Plan of 1994-95 - Appendix

Nadeem Mustafa Khan
- Quality Vision and Quality Goals
- Training Plan Development
- Quality Status Assessment
- Patient Satisfaction Assessment
- Project Nomination and Team Selection
- Quality Improvement Teams (QITs)
- Human Resources and Management Systems
- Improvement of Processes and Outcomes
- Measurement and Quality Indicators
- Quality Structures
- Infrastructure Alignment
- Leadership Commitment and Quality Management